| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
30,155 |
26,795 |
$492K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,168 |
3,916 |
$410K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
7,972 |
6,338 |
$352K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,882 |
4,345 |
$227K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,040 |
957 |
$209K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
31,211 |
3,671 |
$177K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,635 |
2,491 |
$139K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,744 |
1,711 |
$118K |
| Z7502 |
|
3,110 |
3,034 |
$116K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,235 |
16,104 |
$115K |
| 80053 |
Comprehensive metabolic panel |
13,795 |
12,351 |
$103K |
| 76801 |
|
1,982 |
1,772 |
$98K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,957 |
3,600 |
$98K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,138 |
4,439 |
$94K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,399 |
4,895 |
$82K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,046 |
1,345 |
$81K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,809 |
2,460 |
$74K |
| 59025 |
Fetal non-stress test |
4,510 |
1,368 |
$74K |
| 99199 |
Unlisted special service, procedure or report |
1,246 |
1,175 |
$71K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,313 |
1,141 |
$68K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,194 |
1,138 |
$59K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,098 |
2,668 |
$52K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,414 |
1,330 |
$49K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
510 |
463 |
$48K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,197 |
1,057 |
$47K |
| Z9725 |
|
1,285 |
1,279 |
$45K |
| 76830 |
Ultrasound, transvaginal |
792 |
755 |
$44K |
| 76813 |
|
944 |
868 |
$39K |
| J3490 |
Unclassified drugs |
8,738 |
6,538 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
4,197 |
3,906 |
$36K |
| 84484 |
|
4,594 |
3,999 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
973 |
820 |
$32K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,432 |
3,620 |
$29K |
| 83880 |
|
1,300 |
1,189 |
$26K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,804 |
4,137 |
$26K |
| 83690 |
|
4,755 |
4,307 |
$24K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,171 |
3,794 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,618 |
2,075 |
$22K |
| 87631 |
|
520 |
476 |
$21K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,832 |
3,529 |
$21K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
501 |
469 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
485 |
455 |
$19K |
| 81025 |
|
6,339 |
5,863 |
$17K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,454 |
3,035 |
$16K |
| 87650 |
|
1,345 |
1,307 |
$16K |
| 81001 |
|
7,650 |
7,018 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
931 |
878 |
$15K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,493 |
1,379 |
$14K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
810 |
753 |
$14K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,330 |
1,219 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
184 |
170 |
$12K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
220 |
201 |
$11K |
| 0270 |
|
14,283 |
8,774 |
$10K |
| 83605 |
|
1,306 |
1,161 |
$9K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,336 |
1,171 |
$9K |
| 85730 |
|
2,355 |
2,119 |
$8K |
| 93458 |
|
13 |
12 |
$8K |
| J2704 |
Injection, propofol, 10 mg |
1,188 |
1,089 |
$8K |
| 85610 |
|
2,846 |
2,547 |
$7K |
| 82948 |
|
2,620 |
2,140 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
545 |
482 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,042 |
905 |
$6K |
| 87070 |
|
1,302 |
1,248 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
467 |
432 |
$6K |
| 87186 |
|
868 |
797 |
$6K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,076 |
961 |
$5K |
| 84702 |
|
926 |
821 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
105 |
95 |
$5K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
67 |
56 |
$5K |
| 0360 |
|
1,347 |
964 |
$5K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
892 |
776 |
$5K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
770 |
688 |
$5K |
| 80305 |
|
481 |
457 |
$4K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
922 |
813 |
$4K |
| 90715 |
|
139 |
127 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
57 |
54 |
$4K |
| 82150 |
|
871 |
826 |
$3K |
| 0710 |
|
1,608 |
1,447 |
$3K |
| 88342 |
|
245 |
223 |
$3K |
| 83735 |
|
571 |
494 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
448 |
410 |
$3K |
| 84703 |
|
1,212 |
1,141 |
$2K |
| Z7610 |
|
257 |
199 |
$2K |
| 86901 |
|
1,126 |
997 |
$2K |
| 86900 |
|
1,124 |
996 |
$2K |
| 88313 |
|
230 |
212 |
$2K |
| 0250 |
|
1,683 |
1,149 |
$2K |
| 87040 |
|
239 |
217 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
265 |
232 |
$1K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
12 |
12 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
62 |
53 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
210 |
172 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
272 |
213 |
$1K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
141 |
131 |
$1K |
| 73564 |
|
45 |
42 |
$862.40 |
| 0300 |
|
1,325 |
279 |
$824.73 |
| 73130 |
|
45 |
39 |
$797.02 |
| 87077 |
|
107 |
94 |
$776.43 |
| 82553 |
|
145 |
140 |
$720.37 |
| 73610 |
|
50 |
48 |
$697.02 |
| 73630 |
|
44 |
42 |
$658.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
64 |
60 |
$631.33 |
| 85027 |
|
122 |
104 |
$616.15 |
| J2060 |
Injection, lorazepam, 2 mg |
120 |
79 |
$589.17 |
| 82550 |
|
141 |
139 |
$587.84 |
| 86850 |
|
251 |
210 |
$484.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
123 |
$476.82 |
| 88312 |
|
47 |
41 |
$422.12 |
| 76857 |
|
14 |
13 |
$383.89 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
81 |
54 |
$347.20 |
| J1644 |
Injection, heparin sodium, per 1000 units |
71 |
52 |
$317.93 |
| 74021 |
|
14 |
14 |
$311.25 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
47 |
32 |
$294.67 |
| 82009 |
|
78 |
61 |
$272.75 |
| J3486 |
Injection, ziprasidone mesylate, 10 mg |
60 |
38 |
$269.00 |
| 0762 |
|
452 |
404 |
$233.88 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
28 |
14 |
$218.37 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
19 |
17 |
$216.57 |
| A4217 |
Sterile water/saline, 500 ml |
28 |
28 |
$207.48 |
| 0370 |
|
317 |
287 |
$203.80 |
| 87081 |
|
30 |
26 |
$179.32 |
| 36415 |
Collection of venous blood by venipuncture |
2,087 |
1,853 |
$177.96 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
12 |
$173.54 |
| 84550 |
|
48 |
40 |
$137.67 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
14 |
12 |
$123.52 |
| 84460 |
|
32 |
26 |
$116.91 |
| 87420 |
|
60 |
55 |
$114.26 |
| 84450 |
|
32 |
26 |
$112.65 |
| 82565 |
|
32 |
26 |
$110.07 |
| 84520 |
|
32 |
26 |
$80.43 |
| 0100U |
|
130 |
102 |
$76.30 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
12 |
12 |
$75.75 |
| 87088 |
|
12 |
12 |
$46.89 |
| 81003 |
|
25 |
25 |
$44.42 |
| 87147 |
|
12 |
12 |
$36.54 |
| 99001 |
|
335 |
310 |
$8.85 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
30 |
29 |
$3.04 |
| 80320 |
|
101 |
98 |
$0.00 |
| 0324 |
|
53 |
50 |
$0.00 |
| 0310 |
|
24 |
19 |
$0.00 |
| 0254 |
|
32 |
27 |
$0.00 |
| 0636 |
|
175 |
95 |
$0.00 |
| 76818 |
|
117 |
95 |
$0.00 |
| 0260 |
|
95 |
79 |
$0.00 |
| 0760 |
|
236 |
197 |
$0.00 |
| 0160 |
|
60 |
49 |
$0.00 |
| 0402 |
|
143 |
96 |
$0.00 |
| 0320 |
|
39 |
30 |
$0.00 |
| 0272 |
|
106 |
62 |
$0.00 |
| 0481 |
|
20 |
12 |
$0.00 |